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首页> 外文期刊>Gastrointestinal Endoscopy >Esophageal Dieulafoy lesion: an unusual cause of GI bleeding.
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Esophageal Dieulafoy lesion: an unusual cause of GI bleeding.

机译：食管Dieulafoy病变：胃肠道出血的异常原因。

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A 38-year-old male with a history of mental retardation presented with aspiration pneumonia. He had an episode of hematemesis and vomited a large amount of fresh blood. He also had melena. He underwent an upper GI endoscopy for further evaluation. In the mid esophagus there was a medium-sized blood vessel that protruded into the lumen through a small mucosal defect with no active bleeding, but it was coated with bright red blood. The surrounding mucosa appeared normal (Fig 1. with "white light, Fig 2. with narrowband imaging). There were reflux-induced changes at the gastroesophageal junction. The stomach and duodenum had normal appearances, and no blood was noted. Epinephrine was injected around the mid esophageal vascular lesion, followed by hemoclip application, completely occluding the vessel with no further bleeding (Fig. 3). Based on these findings, the mid esophageal vascular abnormality would be classified as a Dieulafoy lesion. The patient tolerated the procedure well and had no further bleeding.
机译：一位38岁的男性，有精神发育迟滞史，伴有吸入性肺炎。他有呕血发作，呕吐了大量新鲜血液。他也有黑猫。他接受了上消化道内镜检查以作进一步评估。在食道中部有一个中等大小的血管，通过一个小的粘膜缺损伸入了内腔，没有活动性出血，但是涂有鲜红色的血液。周围的粘膜看起来正常（图1.“白光”，图2.窄带成像）。在胃食管连接处有反流引起的变化。胃和十二指肠外观正常，未见血液，注射了肾上腺素食管中段病变周围，随后应用止血带，完全阻塞血管，无进一步出血（图3），根据这些发现，食管中段血管异常被分类为Dieulafoy病变，患者对手术的耐受性良好并且没有进一步的出血。

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